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Analysis of the Vehicle Inventory and Use Survey for Trucks ... - About

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ITEM 29<br />

a. At any time during 1997 was this vehicle (or combination) used to haul hazardous materials in<br />

quantities large enough to require a hazmat placard on <strong>the</strong> vehicle due to Title 49, CFR 177.823,<br />

Transportation?<br />

550 1 Yes – Continue with item 29b 2 No – GO to item 30<br />

b. What type(s) <strong>of</strong> hazardous materials were carried by this vehicle? Write in <strong>the</strong> approximate percent <strong>of</strong><br />

<strong>the</strong> vehicle’s 1997 mileage which accounted <strong>for</strong> each hazardous material carried.<br />

NOTE – Indicate only percents <strong>for</strong> those hazardous materials carried in quantities large enough to require a<br />

hazmat placard placed on <strong>the</strong> vehicle.<br />

ITEM 30<br />

Please indicate below <strong>the</strong> total number <strong>of</strong> trucks, truck tractors (power units), <strong>and</strong> trailers owned<br />

<strong>and</strong>/or operated by you or your company.<br />

NOTE – <strong>Trucks</strong> refer to pickups, small vans (including minivans), <strong>and</strong> straight trucks. Trailers refer to semi<br />

<strong>and</strong>/or full trailers. Do not include utility trailers. Subsidiaries <strong>of</strong> companies should report fleet size<br />

<strong>for</strong> <strong>the</strong> respective subsidiary only.<br />

Mark (X) ONE box only.<br />

ITEM 31<br />

FORM TC-9502<br />

Placard name<br />

Explosives 1.1<br />

Explosives 1.2<br />

Explosives 1.3<br />

Explosives 1.4<br />

Explosives 1.5<br />

Explosives 1.6<br />

Flammable gas<br />

Nonflammable gas<br />

Poisonous gas<br />

Flammable<br />

Combustible<br />

600 01<br />

02<br />

1<br />

2 to 5<br />

03<br />

04<br />

Former<br />

placard name<br />

(if different)<br />

Explosives A<br />

Explosives A<br />

Explosives B<br />

Dangerous<br />

Blasting agents<br />

Dangerous<br />

6 to 9<br />

10 to 24<br />

05 25 to 99<br />

06 100 to 499<br />

500 to 999<br />

1,000 to 4,999<br />

Remarks – Please use this space <strong>for</strong> any explanations that may be important in underst<strong>and</strong>ing your reported data.<br />

ITEM 32 Contact In<strong>for</strong>mation<br />

a. Name <strong>of</strong> person to contact regarding this report b. Address (Number <strong>and</strong> street)<br />

Former<br />

Percent Placard name<br />

placard name<br />

(if different)<br />

Percent<br />

% Flammable solid<br />

562<br />

% Spontaneously combustible Flammable solid<br />

563<br />

% Dangerous when wet Flammable solid W<br />

564<br />

% Oxidizer<br />

565<br />

% Oxygen<br />

566<br />

% Organic peroxide<br />

567<br />

% Poison<br />

568<br />

% Keep away from food (none required)<br />

569<br />

% Radioactive<br />

570<br />

% Corrosive<br />

571<br />

% Class 9<br />

(none required)<br />

572<br />

c. City d. State e. ZIP Code<br />

551<br />

552<br />

553<br />

554<br />

555<br />

556<br />

557<br />

558<br />

559<br />

560<br />

561<br />

5,000 to 9,999<br />

10,000 or more<br />

f. Daytime<br />

telephone<br />

number<br />

Area code Number Extension (If any) g. If this vehicle has a fleet number, please enter it here<br />

h. Signature <strong>of</strong> authorized person i. Title j. Date<br />

07<br />

08<br />

09<br />

10<br />

<br />

%<br />

%<br />

%<br />

%<br />

%<br />

%<br />

%<br />

%<br />

%<br />

%<br />

%<br />

Page 11

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